Pinto David A, Kaidar-Person Orit, Cho Minyoung, Roa Paul, Szomstein Samuel, Rosenthal Raul J
Department of Surgery, The Bariatric Institute and Section of Minimal Invasive Surgery, Cleveland Clinic, FL 33331, USA.
Surg Laparosc Endosc Percutan Tech. 2008 Apr;18(2):144-50. doi: 10.1097/SLE.0b013e31816aa103.
To evaluate the safety and outcomes of laparoscopic placement of a gastric stimulator for patients with gastroparesis.
Data of all patients who underwent laparoscopic placement of a gastric stimulator between 2003 and 2005 was retrospectively reviewed. Data included; demographics, perioperative course, and outcomes. A telephone follow-up questionnaire was conducted for all patients. Patient's satisfaction of their life after the procedure was evaluated on a scale from 0 to 10.
Seven patients underwent the procedure. There were no conversions, no perioperative complications; all patients were discharged on the first postoperative day. There were no postoperative complications or mortality. Only 5 patients were available for a telephone interview. All patients indicated reduction of symptoms, 4 patients decreased or discontinued their drug therapy. Four patients indicated that they were tolerating regular diet. Three patients indicated an improvement in their general life satisfaction.
Gastric electrical stimulator may improve gastrointestinal symptoms, reduce the use of drug therapy, and offer subsequent improvement in patients' general life satisfaction. This procedure is relatively safe for patients with refractory gastroparesis. Further studies are required to confirm these results.
评估为胃轻瘫患者腹腔镜置入胃刺激器的安全性及效果。
回顾性分析2003年至2005年间所有接受腹腔镜胃刺激器置入术患者的数据。数据包括人口统计学资料、围手术期过程及结果。对所有患者进行电话随访问卷调查。采用0至10分制评估患者术后生活满意度。
7例患者接受了该手术。无中转开腹情况，无围手术期并发症；所有患者均于术后第1天出院。无术后并发症及死亡病例。仅5例患者接受了电话访谈。所有患者均表示症状减轻，4例患者减少或停用了药物治疗。4例患者表示能够耐受正常饮食。3例患者表示总体生活满意度有所提高。
胃电刺激器可能改善胃肠道症状，减少药物治疗的使用，并随后提高患者的总体生活满意度。该手术对难治性胃轻瘫患者相对安全。需要进一步研究来证实这些结果。
